乌干达老年人出院计划:使用COM-B框架对医疗保健提供者进行定性研究
Judith Owokuhaisa1, Jeremy I Schwartz2,3, Matthew O Wiens4,5
1Faculty of Medicine, Department of Physiotherapy, Mbarara University of Science and Technology, Mbarara, Uganda.
Journal of multidisciplinary healthcare
|November 8, 2023
概括
乌干达的医疗保健提供者面临的障碍包括员工不足和缺乏有效的退院计划的指导方针. 解决这些促进者可以改善患者护理的连续性和过渡.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 有效的出院计划对于患者护理的连续性,减少医院再入院以及确保从医疗保健机构向家庭护理的安全过渡至关重要.
- 该研究的重点是了解卫生保健提供者的观点,在乌干达卫生系统的独特背景下,对老年人的出院计划.
研究的目的:
- 探索医疗保健提供者对影响乌干达老年人出院计划的障碍和促进者的观点.
- 确定影响在低资源环境下实施放电规划的系统因素.
主要方法:
- 一项定性探索性研究,利用25个深入的,与医疗保健提供者 (医生,护士,理疗师) 进行一对一的访谈,为患有非传染性疾病的老年人提供护理.
- 采访数据被逐字转录并使用COM-B模型 (能力,机会,动机) 引导的框架矩阵进行分析,以了解与出院计划相关的行为变化.
主要成果:
- 出院规划的促进因素包括出院表的可用性,持续的医学教育和医疗保健提供者的经验.
- 发现的关键障碍是人员不足,工作量很大,时间不足,没有排放规划指南,缺乏多学科方法和过度拥挤的病房.
- 在多个层面观察到障碍物和促进者:患者,护理人员,医疗保健提供者,卫生设施和政策.
结论:
- 在乌干达卫生系统中,在所有医疗保健服务提供水平上,排放计划的障碍是普遍存在的.
- 加强现有辅导人员提供了一条解决已识别的障碍的途径,需要多层次的干预,以便在住院期间和住院后提供优质的患者护理.
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